| NPI | 1013320597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOOSHI AKAVAN Owner/ Orthodontist 818-345-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 38020) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |